热带病与寄生虫学 ›› 2014, Vol. 12 ›› Issue (4): 230-232.doi: 10.3969/j.issn.1672-2302.2014.04.013

• 论著 • 上一篇    下一篇

皖南山区学生并殖吸虫感染现状调查分析

刘道华,汪天平,郭见多,张世清,方益民,汪业彬   

  1. 230061  合肥市,安徽省寄生虫病防治研究所(刘道华、汪天平、郭见多、张世清),黄山市疾病预防控制中心(方益民、汪业彬)
  • 出版日期:2014-12-10 发布日期:2015-01-27
  • 基金资助:

    安徽省寄研所青年科研基金项目(201302)资助

Investigation on Paragonimus infection status in elementary school students in the mountain areas of southern Anhui province

Liu Daohua1, Wang Tianping1, Guo Jianduo1, Zhang Shiqing1, Fang Yimin2, Wang Yebing2.   

  1. 1. Anhui Institute of Parasitic Diseases, Hefei 230061, China;  2. Huangshan Center for Disease Control and Prevention.
  • Online:2014-12-10 Published:2015-01-27

摘要:  目的  了解皖南山区学生并殖吸虫感染现状及其易感因素。 方法  采用随机整群抽样的方法,采集黄山市936名小学生末梢血,利用酶联免疫吸附试验(ELISA)法检测血清中并殖吸虫特异抗体IgM和IgG,以确定其感染情况;同时进行《并殖吸虫易感因素》的问卷调查,分析其感染的危险因素。  结果  并殖吸虫总感染率为12.07%(113/936),各县区感染率的差异具有统计学意义(P<0.05);单因素分析结果显示,在不同性别、是否食用溪蟹、饮用水源不同、是否喝生水及对并殖吸虫知识不同知晓情况的调查对象中,其感染率的差异具有统计学意义(P<0.05)。 结论  黄山市小学生并殖吸虫感染率较高,该地区仍是并殖吸虫流行的疫源地。男性、食用溪蟹及不了解并殖吸虫预防知识的人群更易感染并殖吸虫,应作为重点防治对象。

关键词: 并殖吸虫, 感染, 易感因素

Abstract:

Objective  To investigate the Paragonimus infection status and predisposing factors to this species in primary school students living in the mountain areas of southern Anhui province. Methods  By random cluster sampling method, we conducted a survey on 936 students in Huangshan City by obtaining the peripheral blood samples which were determined for the Paragonimus specific antibodies(IgM and IgG) by ELISA to examine the infection status. Besides, self-programmed questionnaire on the susceptibility to Paragonimus infection was performed to analyze risk factors. Results  The overall infection rate with Paragonimus was 12.07% (113/936), and varied significantly in students from different areas(P<0.05). Single factor analysis showed that the infection rate was dissimilar in different genders, and students with or without history of ingestion of crabs, intake of unboiled water or drinking water from different sources, as well as knowledge and awareness of Paragonimus infection(P<0.05). Conclusion  Higher infection rate with Paragonimus was found in the elementary school students living in Huangshan City, suggesting that this area remains endemic focus of this species. And prevention should be weighed on the male students, and those with habit of eating crabs and poor knowledge on Paragonimus infection, since they are susceptible population.

Key words: Paragonimus, Infection, Susceptible factor